Fluid-Filled Bumps on the Areola: When to Seek Help

Fluid-filled blisters or lumps within the areola?

Currently breastfeeding, a few weeks ago I noticed a bump under the areola (inside the breast) that feels similar to a blister, located at the Montgomery glands.
It is not painful, and I discovered another one yesterday.
I would like to know what this could possibly be and if I need to seek medical attention immediately.
If so, which specialty should I consult? Thank you!

Niming, 30~39 year old female. Ask Date: 2020/10/24

Dr. Yuan Tianmin reply Breast and Thyroid

You should see a dermatologist for your current condition.

Reply Date: 2020/10/24

More Info

Fluid-filled bumps on the areola, particularly in the area of Montgomery glands, can be concerning for breastfeeding mothers. These bumps may appear as small, fluid-filled sacs and can vary in size. While they are often benign, it's essential to understand their potential causes and when to seek medical attention.

Montgomery glands are specialized sebaceous glands located on the areola that secrete an oily substance to lubricate and protect the nipple during breastfeeding. Sometimes, these glands can become blocked or inflamed, leading to the formation of cysts or bumps. These cysts are typically harmless and may resolve on their own without treatment. However, there are other possibilities to consider.

1. Cysts: These are fluid-filled sacs that can develop in various tissues, including the breast. They are usually benign and may not require treatment unless they become painful or infected.

2. Infections: Conditions such as mastitis, which is an infection of the breast tissue, can cause swelling and tenderness. If the bumps are accompanied by redness, warmth, or flu-like symptoms, it is crucial to seek medical attention.

3. Abscesses: A more severe form of infection, abscesses can occur if a cyst becomes infected. They may require drainage and antibiotics.

4. Benign tumors: While less common, benign tumors such as fibroadenomas can also present as lumps in the breast tissue. These typically do not require treatment unless they cause discomfort or concern.

5. Malignant tumors: Although rare, any new lump or bump in the breast should be evaluated to rule out breast cancer, especially if there are changes in size, shape, or texture.

Given that you are currently breastfeeding and have noticed the appearance of these bumps, it is advisable to monitor them closely. If the bumps remain painless and do not change in size or appearance, you may choose to observe them for a short period. However, if you notice any of the following symptoms, you should seek medical attention promptly:
- Increased pain or tenderness in the area
- Redness or warmth around the bumps
- Fever or chills
- Changes in the appearance of the bumps (e.g., rapid growth, discharge)
When seeking medical help, it is best to consult a healthcare provider who specializes in breast health, such as a breast surgeon or a gynecologist. They can perform a thorough examination and may recommend imaging studies, such as an ultrasound, to assess the nature of the bumps.

In summary, while fluid-filled bumps on the areola can often be benign, it is essential to remain vigilant and seek medical advice if you notice any concerning symptoms. Early evaluation can help ensure that any potential issues are addressed promptly, providing peace of mind during your breastfeeding journey.

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